Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jerome Gordon Jr., OTR-L

Individual provider Occupational Therapist · NPI 1073668596

Mr. Jerome Gordon Jr., OTR-L is an Occupational Therapist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

787 E Northside Dr
Jackson, MS 39206-4945
Phone: (504) 813-4968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1848 (MS)

Record details

NPI number1073668596
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR-L
Sole proprietorYes
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJune 16, 2019

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